DR. JUSTIN FOWLER MD
NPI 1386835585
Surgery - Surgical Critical Care in Boise, ID

Active since August 05, 2007PECOS EnrolledAccepts Medicare Assignment
6165 W EMERALD ST, BOISE, ID 83704(208) 302-3900(208) 302-3955 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 16, 2024, Sep 26, 2024, Sep 12, 2024 and 4 more (7 updates tracked since 2018).

About Dr. Justin Fowler Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JUSTIN FOWLER MD (NPI 1386835585) is an individual surgical critical care provider in Boise, Idaho, licensed in Idaho (M-13069) and active in the NPI registry since August 2007. He is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1386835585
Entity TypeIndividualMale
Primary Taxonomy2086S0102X
Provider Legal NameDR. JUSTIN FOWLERCredential: MD
Location Address6165 W EMERALD STBoise, ID 83704-8613
Mailing Address3551 Roger Brooke DrFort Sam Houston, TX 78234-4504 · (210) 916-3174
Fax(208) 302-3955
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2007
Enumeration DateAugust 5, 2007
Last NPPES UpdateDecember 16, 20247 updates tracked since enumeration
NPPES CertifiedDecember 16, 2024
✔ NPI 1386835585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License✔ Licensed in ID · M-13069
Definition
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
Also ListedOrthopaedic Surgery · Orthopaedic TraumaTaxonomy 207XX0801X · License M-13069 (ID), MD2014-0304 (NM), 2016027259 (MO), Q6009 (TX)
6165 W EMERALD ST, Boise, ID 83704

Secondary Practice Locations 5

Location 15005 N Piedras StEl Paso, TX 79920-5001 · Phone (915) 569-2288 · Fax (915) 569-1919
Location 22606 Hospital Blvd Ste ECorpus Christi, TX 78405 · Phone (361) 902-4766 · Fax (361) 902-6571
Location 3613 Elizabeth St Ste 804Corpus Christi, TX 78404-2231 · Phone (361) 217-6264
Location 43551 Roger Brooke DrFort Sam Houston, TX 78234-4504 · Phone (210) 539-9582
Location 56565 E Carondelet Dr Ste 235Tucson, AZ 85710-3533 · Phone (520) 367-1050

Other Identifiers 4

Other2016027259MO · Mo License
Other1L5640TX · Medicare
OtherP02601779TX · Mcrr
Medicaid390382503TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Justin Fowler Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971746058
PECOS Enrollment IDI20191114003338, I20240614001869, I20251223002050
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

10

Medicare enrollment records show Justin Fowler reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychologist
1055 N CURTIS RD
Boise, ID 83706
  • Reassigned Medicare billing, Idaho enrollment
  • 781 clinicians in this Medicare group
Multi-Specialty
801 E WILLIAMS AVE
Fallon, NV 89406
  • Reassigned Medicare billing, Nevada enrollment
  • 15 clinicians in this Medicare group
Critical Access
801 E WILLIAMS AVE
Fallon, NV 89406
  • Reassigned Medicare billing, Nevada enrollment
  • 27 clinicians in this Medicare group
Surgery
2801 K STREET SUITE 440
Sacramento, CA 95816
  • Reassigned Medicare billing, California and Idaho enrollments
  • 266 clinicians in this Medicare group
Surgery
807 ILLINOIS AVE
Los Banos, CA 93635
  • Reassigned Medicare billing, California and Idaho enrollments
  • 91 clinicians in this Medicare group
Orthopaedic Surgery
1635 CAREGIVER CIR
Rapid City, SD 57702
  • Reassigned Medicare billing, Illinois and South Dakota enrollments
  • 40 clinicians in this Medicare group
Orthopaedic Trauma
3501 N SCOTTSDALE RD STE 136
Scottsdale, AZ 85251
  • Reassigned Medicare billing, Arizona enrollment
  • 31 clinicians in this Medicare group
Family Medicine
919 HIDDEN RDG, 6TH FLOOR
Irving, TX 75038
  • Reassigned Medicare billing, Texas enrollment
  • 179 clinicians in this Medicare group
Family Medicine
520 DOUGLAS BLVD
Tyler, TX 75702
  • Reassigned Medicare billing, Texas enrollment
  • 2,745 clinicians in this Medicare group
Surgery
600 ELIZABETH ST
Corpus Christi, TX 78404
  • Reassigned Medicare billing, Texas enrollment
  • 130 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Magic Valley Medical Center

Acute Care Hospitals · Twin Falls, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130002
Location801 Pole Line Road WestTwin Falls, ID 83301 · Twin Falls County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
6165 W EMERALD ST
BOISE, ID 83704
Physician Assistant
6165 W EMERALD ST
BOISE, ID 83704
Orthopaedic Surgery
6165 W EMERALD ST
BOISE, ID 83704
Physician Assistant (Medical)
6165 W EMERALD ST
BOISE, ID 83704
Physician Assistant
6165 W EMERALD ST
BOISE, ID 83704
Specialist/Technologist (Athletic Trainer)
6165 W EMERALD ST
BOISE, ID 83704
Orthopaedic Surgery
6165 W EMERALD ST
BOISE, ID 83704
Physician Assistant
6165 W EMERALD ST
BOISE, ID 83704

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Fowler's NPI number?

The NPI number for Justin Fowler is 1386835585. It was assigned to this individual provider in the NPPES registry on August 5, 2007.

Where is Justin Fowler located?

Justin Fowler practices at 6165 W Emerald St, Boise, ID 83704. The listed phone number is (208) 302-3900.

What is Justin Fowler's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Justin Fowler enrolled in Medicare?

Yes. Justin Fowler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Justin Fowler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Fowler reassigns Medicare benefits to 10 organizations: Saint Alphonsus Regional Medical Center Inc (Boise, ID), Banner Health Physicians West LLC (Fallon, NV), Banner Churchill Community Hospital (Fallon, NV), Acute Care Surgery Medical Group, Inc. (Sacramento, CA), Surgical Affiliates Of California (Los Banos, CA) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin Fowler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Fowler accept?

Health plans from Avera Health Plans, Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and PacificSource Health Plans and 3 other insurers list Justin Fowler as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Justin Fowler affiliated with any hospitals?

According to CMS data, Justin Fowler is affiliated with St Lukes Magic Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Justin Fowler was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.